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surgical apgar

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https://www.readbyqxmd.com/read/27882019/plasma-bnp-level-combined-with-surgical-apgar-score-to-predict-operative-major-cardiac-adverse-events-in-malignant-obstructive-jaundice-patients
#1
Wei Yu, Changshan Huang, Qian Wang, Erjiang Zhao, Yuechao Ding, Tao Huang, Chao Ma, Bo Meng
OBJECTIVE: To investigate the predictive effect of major adverse cardiac events (MACE) in malignant obstructive jaundice (OJ) patients using plasma brain natriuretic peptide (BNP) level and surgical Apgar scoring (SAS) system. METHODS: Forty one malignant OJ patients undergoing surgical treatments were studied at a single center. Pre-and postoperative plasma BNP level, total bilirubin (TBil) and data of cardiac function (HR, CVP, CI, LVEF%) were detected, the SAS was calculated during the surgery, the relationship of both plasma BNP level and SAS with MACE after surgery was analyzed...
September 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27835995/relationship-between-health-related-quality-of-life-perceived-family-support-and-unmet-health-needs-in-adult-patients-with-multimorbidity-attending-primary-care-in-portugal-a-multicentre-cross-sectional-study
#2
Filipe Prazeres, Luiz Santiago
BACKGROUND: Multimorbidity has a high prevalence in the primary care context and it is frequently associated with worse health-related quality of life (HRQoL). Few studies evaluated the variables that could have a potential effect on HRQoL of primary care patients with multimorbidity. The purpose of this study, the first of its kind ever undertaken in Portugal, is to analyse the relationship between multimorbidity, health-related quality of life, perceived family support and unmet health needs in adult patients attending primary care...
November 11, 2016: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/27820621/association-of-anesthesia-and-surgery-during-childhood-with-long-term-academic-performance
#3
Pia Glatz, Rolf H Sandin, Nancy L Pedersen, Anna-Karin Bonamy, Lars I Eriksson, Fredrik Granath
Importance: The results of preclinical studies suggest that anesthetic drugs administered to neonatal animals cause widespread neuronal apoptosis and later neurocognitive impairment. Adequately powered studies in the pediatric surgical population are scarce, and it is unclear whether such preclinical findings are relevant for the pediatric setting. Objective: To examine the association of anesthesia and surgery before age 4 years with long-term academic and cognitive performance indexed by school grades at age 16 years and IQ test scores at military conscription...
November 7, 2016: JAMA Pediatrics
https://www.readbyqxmd.com/read/27793243/anesthesia-in-pregnant-women-with-hellp-syndrome-case-report
#4
Eduardo Barbin Zuccolotto, Eugenio Pagnussatt Neto, Glínia Cavalcante Nogueira, José Roberto Nociti
BACKGROUND AND OBJECTIVES: HELLP syndrome, characterized by hemolysis, high levels of liver enzyme, and low platelet count, is an advanced clinical stage of pre-eclampsia, progressing to high maternal (24%) and perinatal (up 40%) mortality, despite childbirth care in a timely manner. The goal is to describe the anesthetic management of a case with indication to emergency cesarean. CASE REPORT: Female patient, 36 years old, gestational age of 24 weeks, with hypertensive crisis (BP 180/100mmHg) and severe headache, was admitted to the operating room for a cesarean section after diagnosis of HELLP syndrome...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27783239/risk-scores-as-useful-predictors-of-perioperative-complications-in-patients-with-rectal-cancer-who-received-radical-surgery
#5
Hiroshi Miyakita, Sotaro Sadahiro, Gota Saito, Kazutake Okada, Akira Tanaka, Toshiyuki Suzuki
BACKGROUND: Rectal cancer is associated with a higher rate of surgical complications. The ability to predict the risk of complications before treatment would facilitate the design of personalized treatment strategies optimally suited for each patient. METHODS: We retrospectively studied 260 patients with rectal cancer who underwent radical surgery to examine the relations between complications and 5 types of risk scores. RESULTS: Complications developed in 56 patients (21...
October 25, 2016: International Journal of Clinical Oncology
https://www.readbyqxmd.com/read/27782947/prediction-of-outcome-after-emergency-high-risk-intra-abdominal-surgery-using-the-surgical-apgar-score
#6
Mirjana Cihoric, Line Toft Tengberg, Morten Bay-Nielsen, Nicolai Bang Foss
BACKGROUND: With current literature quoting mortality rates up to 45%, emergency high-risk abdominal surgery has, compared with elective surgery, a significantly greater risk of death and major complications. The Surgical Apgar Score (SAS) is predictive of outcome in elective surgery, but has never been validated exclusively in an emergency setting. METHODS: A consecutive prospective single-center cohort study of 355 adults undergoing emergency high-risk abdominal surgery between June 2013 and May 2014 is presented...
December 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27703328/effect-of-low-dose-of-intrathecal-pethidine-on-the-incidence-and-intensity-of-shivering-during-cesarean-section-under-spinal-anesthesia-a-randomized-placebo-controlled-double-blind-clinical-trial
#7
Shoaleh Shami, Karim Nasseri, Mousa Shirmohammadi, Farzad Sarshivi, Negin Ghadami, Ebrahim Ghaderi, Mokhtar Pouladi, Arvin Barzanji
INTRODUCTION: Shivering is among the unpleasant and potentially harmful side effects of spinal anesthesia. The aim of this randomized double-blind clinical trial was to compare the antishivering effect of two different doses of intrathecal pethidine on the incidence and intensity of shivering and other side effects in patients who underwent cesarean section. METHODS: In this study, 150 parturient females scheduled for nonemergent cesarean section were randomly allocated to three groups...
2016: Drug Design, Development and Therapy
https://www.readbyqxmd.com/read/27687420/surgical-apgar-score-is-associated-with-myocardial-injury-after-noncardiac-surgery
#8
L McLean House, Khensani N Marolen, Paul J St Jacques, Matthew D McEvoy, Jesse M Ehrenfeld
STUDY OBJECTIVE: To assess the impact of intraoperative hemodynamics in the development of perioperative myocardial infarction (MI) and myocardial ischemia after noncardiac surgery. DESIGN: Single-center retrospective cohort study of surgical patients from 2007 to 2012. SETTING: Postanesthesia care unit, intensive care unit, and medical-surgical ward at an academic tertiary medical center. PATIENTS: A total of 46,799 adult noncardiac, nonthoracic surgery patients, for which 2290 peak cardiac troponin (cTn) levels were available...
November 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27668544/appendectomy-in-pregnancy-appraisal-of-the-minimally-invasive-approach
#9
Lior Segev, Yakir Segev, Shlomi Rayman, Ron Shapiro, Aviram Nissan, Eran Sadot
BACKGROUND: The optimal surgical approach to acute appendicitis in pregnancy remains controversial. Our aim was to compare perioperative and obstetric outcomes associated with laparoscopic and open appendectomy in a large contemporary cohort of pregnant women. METHODS: Retrospective review of all women who underwent appendectomy during pregnancy in a single hospital during 2000-2014. RESULTS: Ninety-two patients met the study criteria. Fifty (54%) underwent laparoscopic appendectomy and 42 (46%) open appendectomy...
September 26, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27557829/usefulness-of-surgical-apgar-score-on-predicting-survival-after-surgery-for-gastric-cancer
#10
Takanobu Yamada, Akira Tsuburaya, Tsutomu Hayashi, Toru Aoyama, Hirohito Fujikawa, Junya Shirai, Haruhiko Cho, Toshio Sasaki, Yasushi Rino, Munetaka Masuda, Takaki Yoshikawa
BACKGROUND: Complete surgical resection is essential for a cure for most gastric cancer. Recently it was reported that surgical Apgar score (SAS) can predict postoperative complication and that postoperative complication is associated with poor long-term survival. The aim of this study is to assess whether SAS can predict overall survival (OS) after surgery for gastric cancer. METHODS: We retrospectively compared clinicopathological characteristics and survival between high and low SAS score groups in patients who underwent gastrectomy for gastric cancer...
August 24, 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27535233/elective-cesarean-section-or-not-maternal-age-and-risk-of-adverse-outcomes-at-term-a-population-based-registry-study-of-low-risk-primiparous-women
#11
Lina Herstad, Kari Klungsøyr, Rolv Skjærven, Tom Tanbo, Lisa Forsén, Thomas Åbyholm, Siri Vangen
BACKGROUND: Maternal age at delivery and cesarean section rates are increasing. In older women, the decision on delivery mode may be influenced by a reported increased risk of surgical interventions during labor and complications with increasing maternal age. We examined the association between maternal age and adverse outcomes in low-risk primiparous women, and the risk of adverse outcomes by delivery modes, both planned and performed (elective and emergency cesarean section, operative vaginal delivery, and unassisted vaginal delivery) in women aged ≥ 35 years...
2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27523923/use-of-the-surgical-apgar-score-to-enhance-veterans-affairs-surgical-quality-improvement-program-surgical-risk-assessment-in-veterans-undergoing-major-intra-abdominal-surgery
#12
Antonio Masi, Salvatore Amodeo, Ioannis Hatzaras, Antonio Pinna, Alan S Rosman, Steven Cohen, John K Saunders, Russell Berman, Elliot Newman, Garth H Ballantyne, Leon H Pachter, Marcovalerio Melis
BACKGROUND: We investigated whether the surgical Apgar score (SAS) may enhance the Veterans Affairs Surgical Quality Improvement Program (VASQIP) risk assessment for prediction of early postoperative outcomes. METHODS: We retrospectively evaluated demographics, medical history, procedure, SAS, VASQIP assessment, and postoperative data for patients undergoing major/extensive intra-abdominal surgery at the Manhattan Veterans Affairs between October 2006 and September 2011...
July 21, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27520628/improvement-of-the-surgical-apgar-score-by-addition-of-intraoperative-blood-transfusion-among-patients-undergoing-major-gastrointestinal-surgery
#13
Aslam Ejaz, Faiz Gani, Steven M Frank, Timothy M Pawlik
BACKGROUND: The surgical Apgar score (SAS) has been shown to correlate with postoperative outcomes. A key component of the SAS is estimated blood loss (EBL), which has been shown to be inaccurate and discordant with intraoperative blood transfusion. Given this, the objective of the current study was to assess the added predictive value of the including receipt of intraoperative transfusion to the SAS. METHODS: We identified 1833 patients undergoing major gastrointestinal surgery (pancreatic, hepato-biliary, and colorectal) between January 1, 2010 and August 31, 2013 at Johns Hopkins Hospital...
October 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/27501619/reference-values-for-umbilical-cord-blood-gases-of-newborns-delivered-by-elective-cesarean-section
#14
Kattiya Manomayangkul, Arunotai Siriussawakul, Akarin Nimmannit, Thassayu Yuyen, Sopapan Ngerncham, Kanit Reesukumal
BACKGROUND: Umbilical cord blood gas values are better indicators of perinatal asphyxia than Apgar scores. Many studies have reported normal ranges of umbilical cord blood gases, which vary greatly due to many factors. This study aimed to establish the reference values of umbilical cord blood gases of normal cesarean newborns in a university hospital setting. MATERIAL AND METHOD: Blood samples from the umbilical artery and vein were collected from 160 newborns delivered by elective cesarean section...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27499969/the-value-of-esophagectomy-surgical-apgar-score-esas-in-predicting-the-risk-of-major-morbidity-after-open-esophagectomy
#15
Xue-Zhong Xing, Hai-Jun Wang, Shi-Ning Qu, Chu-Lin Huang, Hao Zhang, Hao Wang, Quan-Hui Yang, Yong Gao
BACKGROUND: Recently, surgical apgar score (SAS) has been reported to be strongly associated with major morbidity after major abdominal surgery. The aim of this study was to assess the value of esophagectomy SAS (eSAS) in predicting the risk of major morbidity after open esophagectomy in a high volume cancer center. METHODS: The data of all patients who admitted to intensive care unit (ICU) after open esophagectomy at Cancer Hospital of Chinese Academy of Medical Sciences & Peking Union Medical College from September 2008 through August 2010 was retrospectively collected and reviewed...
July 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27459392/epidemiological-risk-factors-and-perinatal-outcomes-of-congenital-anomalies
#16
Lissa Fernandes Garcia Almeida, Edward Araujo Júnior, Gerson Claudio Crott, Marcos Masaru Okido, Aderson Tadeu Berezowski, Geraldo Duarte, Alessandra Cristina Marcolin
Objectives To identify the epidemiological risk factors for congenital anomalies (CAs) and the impact of these fetal malformations on the perinatal outcomes. Methods This prospective cohort study comprised 275 women whose fetuses had CAs. Maternal variables to establish potential risk factors for each group of CA and perinatal outcomes were evaluated. The primary outcome was CA. Secondary outcomes included: fetal growth restriction (FGR); fetal distress (FD); premature rupture of membranes (PROM); oligohydramnios or polyhydramnios; preterm delivery (PTD); stillbirth; cesarean section; low birth weight; Apgar score < 7 at the 1st and 5th minutes; need for assisted ventilation at birth; neonatal infection; need for surgical treatment; early neonatal death; and hospitalization time...
July 2016: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/27355707/utility-of-the-surgical-apgar-score-for-patients-who-undergo-surgery-for-spinal-metastasis
#17
Darryl Lau, Timothy J Yee, Frank La Marca, Rakesh Patel, Paul Park
STUDY DESIGN: Retrospective review of consecutive patients who underwent surgery for spinal metastasis 2005-2011. OBJECTIVE: To assess the utility of the surgical Apgar score (SAS) in patients who underwent surgery for spinal metastasis. SUMMARY OF BACKGROUND DATA: Surgery for spinal metastasis can be associated with relatively high morbidity and mortality. Consequently, identifying patients at-risk for major postoperative complications is important...
June 28, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27335199/-appendicitis-in-neonatal-an-patients-with-secondary-necrotizing-enterocolitis-ecn-due-to-sepsis-in-the-uterus-a-case-report
#18
Julio César López-Valdés, Rocío Escarcega-Servín
UNLABELLED: Nowadays appendicitis is the leading cause of acute surgical abdomen. It occurs mainly between the first and third decade of life and is very rare in the neonatal period. The pathophysiology and clinical manifestations differ from the typical signs and symptoms, making it difficult to diagnose, which is in mostly cases at the time of surgery, and 74% of them appear with perforation and peritonitis. During the first day there were no complications; however, antibiotic therapy was initiated due to the risk of sepsis...
May 2016: Gaceta Médica de México
https://www.readbyqxmd.com/read/27313923/acute-intestinal-obstruction-complicating-abdominal-pregnancy-conservative-management-and-successful-outcome
#19
Gerald Okanandu Udigwe, George Uchenna Eleje, Eric Chukwudi Ihekwoaba, Onyebuchi Izuchukwu Udegbunam, Richard Obinwanne Egeonu, Ayodele Obianuju Okwuosa
Background. Acute intestinal obstruction during pregnancy is a very challenging and unusual nonobstetric surgical entity often linked with considerable fetomaternal morbidity and mortality. When it is synchronous with abdominal pregnancy, it is even rarer. Case Presentation. A 28-year-old lady in her second pregnancy was referred to Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria, at 27 weeks of gestation due to vomiting, constipation, and abdominal pain. Examination and ultrasound scan revealed a single live intra-abdominal extrauterine fetus...
2016: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27310958/analgesic-efficacy-of-intrathecal-fentanyl-during-the-period-of-highest-analgesic-demand-after-cesarean-section-a-randomized-controlled-study
#20
Wojciech Weigl, Andrzej Bierylo, Monika Wielgus, Swietlana Krzemień-Wiczyńska, Iwona Szymusik, Marcin Kolacz, Michal J Dabrowski
Cesarean section (CS) is one of the most common surgical procedures in female patients. We aimed to evaluate the postoperative analgesic efficacy of intrathecal fentanyl during the period of greatest postoperative analgesic demand after CS. This period was defined by detailed analysis of patient-controlled analgesia (PCA) usage.This double-blind, placebo-controlled, parallel-group randomized trial included 60 parturients who were scheduled for elective CS. Participants received spinal anesthesia with bupivacaine supplemented with normal saline (control group) or with fentanyl 25 μg (fentanyl group)...
June 2016: Medicine (Baltimore)
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